Healthcare Provider Details

I. General information

NPI: 1619805819
Provider Name (Legal Business Name): AKSHAY UKEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1S210 SUMMIT AVE
OAKBROOK TERRACE IL
60181-3933
US

IV. Provider business mailing address

520 N GENESEE ST APT 423
WAUKEGAN IL
60085-4076
US

V. Phone/Fax

Practice location:
  • Phone: 630-282-6004
  • Fax:
Mailing address:
  • Phone: 269-267-5791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: